spinal surgery, physical therapy protocol

<> A poor posture can indirectly cause damage to your joints by putting too much pressure on your joints, leading to overuse and pain. 5w';hG]LanjE&]XzD;V(W HB v(2u\ MF9B4R)Ew'9FOk|N$4bj9c[-UX+9DlL)L+&X8jIk+G93iz?eW,TN2Rlv~G$opr;;z0E $ O?l0O&9>Tf`g9igW.g+r@'-qX'5wf7!dP:sj0Xrtt NhpCJ+B|x+>p-a@oUy?"Qor<>S <>/Metadata 209 0 R/ViewerPreferences 210 0 R>> 0000011977 00000 n Most patients are referred for physical therapy anywhere between 4 to 7 weeks after their discharge from the hospital. Not all patients will respond positively to physical therapy interventions. Physical therapy will provide training for safe transfers and bed mobility. % Osteophytes and segmental disc space narrowing in patients with degenerative spondylosis. The next step is in your recovery is choosing a physical therapy practice and physical therapist that that has significant experience treating lumbar fusion procedures. 2013-2023 Rehab Select. (2015). If any of the following occur, contact Dr. Poulter and hold off on physical therapy: Any signs of infection Our orthopedic surgeons have trained and practice at the most advanced orthopedic facilities and have years of experience. All Rights Reserved. <> endobj Physical Therapy Protocols Shoulder Elbow Hip/Knee Ankle Return to Sports Guidelines Physical Therapy Standards of Care Ankle Spine Shoulder Hip/Knee Lower Extremity Pelvic Health Guide to Physical Therapy After Spinal Fusion, Return to Exercise After Microdiscectomy Surgery, Strengthening Exercise Program for Low Back Pain Relief, Hamstring Exercises for Low Back Pain Relief Video, Spinal Fusion Surgery Recovery: 1 to 4 Weeks After, Techniques for Effective Exercise Walking, Seated Chair Hamstring Stretch for Sciatica Relief Video, Supine Hamstring Stretch (Towel Hamstring Stretch) for Low Back Pain and Sciatica Relief Video, Physical Therapy after Spinal Fusion: Weeks 6 to 9, Physical Therapy after Spinal Fusion: Weeks 9 to 12, Lower Back Stabilization Exercises for Back Pain, Piriformis Muscle: Blood Supply and Innervation, Percutaneous Neuromodulation Therapy (PNT), Suffering from Lumbar Spinal Stenosis? Rehab Selects post-surgical inpatient rehab is provided by a team of highly skilled professionals who will tailor a recovery plan to meet your specific needs. Extend the upper body by lying on the stomach and squeezing shoulder blades together while slowly raising head and shoulders only one inch off floor. Examples of other exercises (performed while bracing) initiated in the later stages of phase II include the following: Lateral pulls (light resistance with approval of surgeon), Scapular depression (avoid resisting more than 40% of body weight), Push-ups standing and leaning into the wall. Confirmatory diagnostic testing often includes MRI scanning and discography for equivocal cases. 1 0 obj Rehabilitation Protocol: Post-Operative Lumbar Spinal Fusion Department of Neurosurgery Lahey Hospital & Medical Center, Burlington 781-744-7580 . <> <> Ov'R:6o!+k}@A GCg_Aiz#IV+l!p>l>6=7 Z2}4hM k\P#xXT''gaR_*Q,+. Spine surgery patients who start physical therapy early tend to resume functional activities sooner than those who don't. H9SLeiZD_x}q#?/.NJ_b0 aIw;fq?4![AAAAj2:_/O}V*|C">i~{ S6x+(((tGyS/_>{|JoDo8 '%~ [AAAA#6s?{z?}&?M${O}tuJ=2 FsBQ&g.kL_"]2F"%>uPB`"ClJ0|x?MoSM26P~]l 9 0 obj Es The surgeon's technique and the patient's individual diagnosis will influence what rehabilitation should be done. is developed based on your unique condition and requirements. 762 0 obj <> endobj Our offices and facilities have been designed to provide you with a level of specialized orthopaedic care usually found only in larger metropolitan areas. Background: Horner's syndrome (HS) classically consists of the symptom triad of miosis, ptosis, and anhidrosis. Movement. ?LlAZlE0`x/*Xr``Gd0@Z|Kr)}$$WL6N:\K[XH Your care team will incorporate spinal surgery physical therapy protocols and other modalities, such as occupational therapy, to help you adapt to your new physical abilities. lumbar laminectomy physical therapy post op protocol protocol pphase 1hap p direct decompression by removal of the lamina at surgical level(s). s\A0W+ endobj !c=cS+-R[( [W?9yjJkyez^ uXvP7ncGu[VM [ 13 0 R] %PDF-1.7 It is caused by impairment of a certain pathway in the sympathetic nervous system. After brace is removed cervical ROM is allowed to tolerance in all planes of motion, beginning with mid range and working to end range as pain allows. {g/q?=a\8)TU>?gW?Y OXy5fO""!4O.=afhCn|6m"t0-CP(I#,RmFt(lq1l-|a[,p)dO(F2g"N#%X/^Dl lEr{B)B=Y3Ah 131@hc(?UPEv; oQ8K`E$th?cDF{hu,2yr2xRGKh$C.+A`Rp:$M /;}N\j?$(~ xK+mD5z1;q55Z 6. 617-732-5500, Rehabilitation Services - Physical and Occupational Therapy, Arthroscopic Anterior Shoulder Stabilization Protocol, Latissimus Dorsi Tendon Transfer Protocol, Open Anterior Shoulder Stabilization Protocol, Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol, Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Reverse (Inverse) Total Shoulder Arthroplasty Protocol, Rotator Cuff Repair Small to Medium Tear, Rotator Cuff Repair Large to Massive Tear, Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol, Autologous Chondrocyte Implantation Protocol, Medial Patellofemoral Ligament (MPFL) Reconstruction, Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Brostrom Gould Repair for Ankle Instability, Functional Activity Progression Protocol following Lower Extremity Stress Injury, Return to Sport Following Knee Injury/Surgery, Running Injury Prevention Tips & Return to Running Program, Running Injury Prevention Tips & Strength Training Program, Reverse (Inverse) Total Shoulder Arthroplasty, Anterior Cruciate Ligament (ACL) Non-surgical Management, Non-Operative Management of Labral Tear of the Hip, Pelvic Floor Considerations in the Transgender and Gender Nonconforming Patient, Breast Reconstruction following Mastectomy, Physical Therapy Treatment of Blocked Milk Ducts, Inpatient-Specific Physical Therapy Standards of Care, Inpatient PT and OT Services: Main Campus, Anesthesiology, Perioperative and Pain Medicine. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. to see how we can be part of your healing journey. stream Care should be taken when starting more vigorous strengthening activities, because it is recommended that the patient be able to use the appropriate stabilization muscles during components of the exercise before doing the full exercise. f{X q^?UvAS 6EN&t98Gu"zLHUrYgO* 2c\p2:N7K0M_{slNP0~d IWh&c9 61aX>8FOH=t':EI 1=]2@-@3JL ng&8)zH`}\5b j6f'OGpaX}v8!tEFM.GO,Y)r'ju+S.EkANkxt 7OZG!^K;Gx(=TJLPRc%5 <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> ]=:Xf 8d~@/Z~s Igkv6RQo1(Y2tz;M=q]pFO^z:K}#3jRR ['W"y-T{< . H\n0. Bone stimulator may be used per M.D. as soon as they can after spinal surgery to counteract the adverse physiological effects associated with prolonged bed rest. <> Click here to schedule a meeting or tour today. Is Minimally Invasive Spine Surgery Right for You? hbspt.cta._relativeUrls=true;hbspt.cta.load(281126, '05ef009b-f3a0-4edd-a260-d1328a78e8a8', {"useNewLoader":"true","region":"na1"}); Topics: 7 0 obj Clin Orthop 384:153-161,2001. Orthopedic rehab aims to restore mobility and motor function, build strength, and support recovery from injuries affecting the muscles, bones, and jointsincluding injuries to the spinal column and spinal cord. Before bracing is initiated, it is best to make sure the patient can isometrically contract the TA, multifidi, and pelvic floor muscles. Clavicle Protocol Non-Surgical. Please consult your physician before beginning any new program. %PDF-1.7 A-posterior lumbar fusion (PLIF): associated with a higher incidence of postsurgical nerve injuries. <> For these reasons, the patient should learn that spinal care is now a lifetime habit and must be maintained with regular exercise and good mechanics during all daily activities. A seated hamstring stretch can be performed while sitting on the edge of chair. 12 Gibson JNA, Waddell G and Grant IC, Surgery for Degenerative Lumbar Spondylosis, Cochrane Lib., Vol 4, 2004. MD Physical Therapy Section Kenneth Kirby, PT, DPT William Beaumont Army Medical Center . After spinal surgery, you'd want to heal as quickly as possible and resume normal activities. Co-contraction of the TA, multifidus, and pelvic floor muscles with and without using pressure biofeedback (BFB). It's not intended as a substitute for clinical decision making. endobj This stretch may cause increased symptoms during the stretch, which should resolve immediately on relaxing. Every injury and surgery is different, and the timelines provided are a suggestion. endstream 2 0 obj Surgical versus non-surgical treatment of chronic low back pain, Direct lateral lumbar interbody fusion for degenerative conditions, Therapeutic exercise: Foundations and techniques, ACSMs guidelines for exercise testing and prescription, https://www.physio-pedia.com/index.php?title=Lumbar_Fusion_Rehabilitation&oldid=324184, Post traumatic cases of segmental instability or potential neurologic injury, Degenerative spinal pathology with failure of conservative treatment, Lumbar degenerative spinal deformity including symptomatic spondylolisthesis and degenerative scoliosis. In most cases Physiopedia articles are a secondary source and so should not be used as references. Many variations exists in the types of surgery done and the patients response to it. Your physical therapist should help you control pain, which will allow you to better follow the protocol and perform the appropriate exercises to regain your strength. Example stretches: Watch: Seated Chair Hamstring Stretch for Sciatica Relief Video. The initial study protocol was a three-arm trial, which . Most surgeons will encourage patients to get out of bed and walk the first day after surgery, and recommend walking frequently throughout the initial recovery period, increasing the amount and length of the walks as tolerated. Protect the surgical site from infection and mechanical stress, nerve root mobility at the involved levels, Begin a stabilization and reconditioning program, Improve scar and surrounding soft tissue mobility, Treat restrictions of thoracic, UEs, and LEs that can lead to more strain on the lumbar spine. Fusion may take 6 months to 1 year to fully heal. During later phases, a protocol incorporates flexibility and strengthening exercises to promote stability and trunk control so you can maintain correct postures. <>/Metadata 245 0 R/ViewerPreferences 246 0 R>> If a more comprehensive weight training program is called for it should be again geared to the specific activity faced by the patient. The most common etiologies leading to spinal surgery include spinal stenosis and disc herniation, which often present with symptoms of back and/or radicular pain. <> I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. endobj 6 0 obj cardio guidelines: activities beyond 4 weeks can only be done if Evaluation was conducted on consecutive patients with knee OA attending a physical therapy department. angle from your sides, then take a small step forward until you feel a stretch in the front of your. Each patient heals differentlyyou may progress faster or slower than the recommended timeline. So how do you know if you're in good hands at an inpatient rehab facility? Exercises: Train Neutral lumbar position: Create independent movement of the pelvis and then find and maintain a neutral position of the lumbar spine. Patients should be progressing to full restoration of their pre-injury level of function and be independent with conducting their previous home and gym program. 17 0 obj endobj 10 0 obj to analyze our web traffic. Surgical procedures are performed in the ultra-modern surgical suites at Community Memorial Hospital in Hamilton. Physical Therapy Protocols We have developed injury and surgery-specific therapy protocols designed to focus your recovery. 0000005875 00000 n Patients should begin to approximate normal activities while the therapist controls, patients should be slowly working up to 30 minutes of exercise and physical activity at least 5 days a week.23. endobj Since Hamilton Orthopaedics, Spine and Sports Medicine was founded by Dr. Ivan Gowan in 1984, the practice has grown exponentially to serve the ever growing demand in Central New York. Rehab Selects post-surgical inpatient rehab is provided by a team of highly skilled professionals who will tailor a recovery plan to meet your specific needs. 3. Independent in home exercise programme (HEP). Here's what you need to know about spinal fusion physical therapy protocols, why they're important, and what to look for when selecting your inpatient rehab treatment options: A back surgery rehabilitation protocol is developed based on your unique condition and requirements. 8 0 obj Working with an experienced physical therapist in an inpatient post-op rehab program is your best bet for a smooth recovery. I lived in horrible pain from a frozen shoulder for a few months before being referred to physical therapy in hopes of avoiding surgery. Patients and their family should leave the hospital with an understanding of the home care required until they begin their outpatient physical therapy. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. % They should have a good grasp of not only the exercises and physical activity required to reach their goals but also ways to modify those activities. endobj Acute Phase: 1 day - 4 weeks Hospital stay: 1-3 days Physical therapy will provide training for safe transfers and bed mobility. This is the proper timing for assessing functional outcomes and psychological support. Continue to take prescribed pain medication and use ice as needed for pain control. Click here to schedule a meeting or tour today to see how we can help you on your journey of recovery. 16 0 obj x}xTjBQjHB{3f(#$!6[I>c'-wW 6Y'6s\1p^M1} P"sEOpt8Os6>omr k~O\bVx+oMj NU\o$2M+{JVw!1/[aH6OoS.!f }^%.-e{sz6}b#o d2+Uo%Pg)=h#_#S?;KGY~r Shoulder Shoulder Arthroscopy Small-Medium Rotator Cuff Tears 4 0 obj PT should be part of this patient-centered, evidence-based, multi-disciplinary approach that reduces a patient's surgical stress response and accelerate recovery. Physical therapy will emphasize spine neutral, improving . Stronger muscles take the load off your joints, reducing the risk of overuse and pain. Pedicle screws and rods or plates may be placed to immobilize the motion segments rigidly and augment the formation of a solid union. Fact: With the advancement of medical technology, the recovery time after spine surgeries have reduced in comparison to previous times. 0000010876 00000 n Physical Therapy after Spinal Fusion: Weeks 9 to 12 advertisement Weeks 1-9: Include Static Stabilization Exercises These movements are described as "static" because they are done without moving the trunk. PHASE 3 Rehabilitation Goals for 12-18 weeks following surgery, or through next six weeks of therapy. Lahey Danvers Rehabilitation, Danvers 978-739-7400 Lahey Outpatient Center, Lexington 781-372-7060 . Schedule a tour to see how we can be part of your healing journey. 0000016495 00000 n Return of full activities at 3 months post-operative. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. Examples of exercises would include: Cardiovascular reconditioning (using stair climber, brisk walking, and pool exercises once the incision is closed). Understand good posture and spinal mechanics. A joint is held together with fibrous, tough tissue that can become damaged or torn. Mb6^WRINI| \,>oT3R}'rpgYqls&4mc5MCQ*;t.-S;sQnat4:o@,G0#BfLGawb1{@,jYO e`,zd8k Spine fusion surgery can be done in the neck, mid back, and low back regions of the spine, and your physical therapy schedule will vary based on this and other factors, so it's good to involve your PT early. !I$?5"T/6;)_y2'FBVM&vu|yBG-4{Pxy~7 /4>R^q"QW"!7xp:OvhTw\||eof3#4tj{-/ex$1#aPyl /_Q2PA&|1K~oSF4,}ZB"L(q,^E _ j%ta|nRv3OD{D B$7RFW0v3PniMDv:do)Iluk$>?h[NykO{| /x_h{||0Y/FwrUsyu7[8w|&Eu+hy1"KU6T|ZU.Ij?V$m4*7y Get Veritas Health Newsletters delivered to your inbox. ]g~Mjm56t9SAS1b3cM Your therapist will also help you understand body mechanics to ensure you can move around safely. <> endobj Understand self-management and concept of pacing concept and considering posture to endobj 0000001893 00000 n 2 0 obj 0000004423 00000 n BT _Rb et&T;-CUY4[:Hop,pG~2uBs?^CD0(yNYn]&j`E"(A\axU,n!Y#K# Jl&P|;PO kND$Zj%)x; It also involves learning proper lifting techniques to help you minimize the chances of re-injury. See Lower Back Stabilization Exercises for Back Pain, Next Page: Biomechanical studies have shown that people bear load through the middle and posterior thirds of the disc. E] Educate patient on self mobilization of scar. Stay Informed. Post-Operative Protocols The following protocols may be prescribed to you after surgery. That is usually the journal article where the information was first stated. This brace should be brought to the hospital on the day of surgery. Post-op physical therapy (PT) is critical in this recovery process to help you minimize complications, shorten, encourage patients to perform goal-directed early mobilization. 16 0 obj Posted by A midline posterior incision, with a laminectomy if necessary. endobj 12 0 obj This is possible through patient education, which includes: A tour of the facility and operating room along with meeting with individuals who have already undergone such a procedure may also help to decrease patient anxiety surrounding the surgery and hospital experience.[6]. xY[o6~7AjZJM6k*9XaDtDd;W~m\t+7Om~l6\7\M'0F3IF2aDIj5ddo I?w;?%sUH@(@V*O?l\/IRS q"3`)j,eE8Sd&b8yQQ((2c**{V7tV$u*t&KW[W34L&kr6dO2m`8tBC"2M3E1pj?P8uwX)|B_0 The quadriceps flexion stretch is done while lying on the stomach, and bringing heel toward buttocks as far as possible. Spinal manipulative therapy; SPPB: Short Physical Performance Battery; SRE: Supervised . Choose from one of the five Alabama locations of Rehab Select as the place to ensure a safe and successful return to your workplace, family, and social life. 0000005331 00000 n 0000001746 00000 n Today, most spine surgeons use pedicle screw constructs to immobilize the vertebrae rigidly while preserving the normal lumbar lordosis.[3]. 11 0 obj Your therapist will answer your questions, help you understand the physical changes you experience, and show you how to exercise correctly to maximize the benefits of your back surgery. Rotator Cuff Repair - Large to Massive Tear. The team of compassionate, highly renowned orthopedic surgeons and specialists at Hamilton Orthopedics, Spine & Sports Medicine are dedicated to providing patients with the most advanced orthopedic care in sports medicine, reconstructive surgery, total joint replacements and revisions, treatment of spinal cord injuries and diseases, on-site x-ray and casting, on-site physical therapy and rehabilitation, and arthroscopic rotator cuff repair. Thermotherapy, electrotherapy, ultrasound, and heat or cold therapy may also be used to ease swelling and pain. The following Standards of Care and Protocols are the property of BWH and should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Physical therapy management during this phase consists of teaching patients the proper way to get in and out of bed, dress and perform other self-care activities, and walk (perhaps with a walker for the first 1 or 2 days). But you can't just move around and hope for the best! If an anterior fusion also has been performed, then a midline skin incision will be apparent and the abdominal muscular incision is lateral. Lumbar Spine Fusion is an effective treatment option to stabilize the painful motion segment, and may provide indirect decompression of the neural elements, restore lordosis and correct deformity[1]. endobj [2], Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. 0000051766 00000 n All of our locations are handicapped accessible. (!{Yn4PBz.r:{"sE1DSN'$6n0%{*=]0xrjU!uFL~A^^M*oI~7S)\!8kFJveCfQU-77%OR\[+VH6Y_%'_ZL-*b:3|>MqhM#JVgv&-J1H- orthopedic rehab that incorporates a multi-disciplinary approach into a broad-based, integrated, and customized treatment plan to help shorten back surgery recovery time while improving your treatment outcomes. modulation as part of the physical therapy treatment plan. 1 0 obj <> Surgeons use many surgical techniques and approaches for fusionfor example: Because of these variations, some exercises may not be appropriate for all patients. A physical therapist must respect the guidelines from the operating surgeon since they know the ins and outs of the surgery performed. Therapist must have a complete picture about the procedure, surgical approach and fused levels. 0000011013 00000 n 1 0 obj While safe recovery from back surgery cant be rushed, there is a right and a wrong way to do it. An experienced rehab therapist will combine proven methods with their assessment of your health condition to develop a personalized plan for your healing journey. Your therapist should monitor and assess your progress frequently to ensure you're hitting the milestones before moving on to the next phase of the protocol. Connect with us. kyphoplasty physical therapy post op protocol bracing: jewett brace usually no brace unless > 2 levels and/or patient osteoporotic criteria for progression to next phase: -pain managed (meds/activity modification) -ale to perform adl's for self are and hygiene -tolerance of 15-30 min. Light TA and pelvic floor contractions to begin to practice them in different positions. 0000004197 00000 n endobj endobj <> shoulders. General Information: Here is a general guide for physical therapy after spine fusion surgery: First week after surgery. Exercises are recommended to be practiced in sitting, standing, and quadruped. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. endobj Form a bridge with trunk raised by raising hips from floor and keeping a straight line from shoulders to hips. d]'^qnuN"t7fD&PJIA)8_m"-d'# Ujvs With the personal attention that comes from our being part of a smaller community. Working with an experienced physical therapist in an. -!xG6&nV j`9^s The patient must move frequently beginning the first day after surgery. <> Manual Therapy: Grade 1 or grade 2 joint mobs for neuromodulation of pain Scar tissue mobilization. hbbf`b``3 0 '< endstream endobj 281 0 obj <>/Metadata 31 0 R/Pages 30 0 R/StructTreeRoot 33 0 R/Type/Catalog/ViewerPreferences<>>> endobj 282 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 283 0 obj <> endobj 284 0 obj <>stream <> FQ_f $P!u K%ze8E@@>b{RW* >:R:'5C?Q9'&CVW pPu^|jRWkfos }<. Access to the spine can be achieved through incisions in the front, the back, the sides, or some combination of approaches, Minimally invasive techniques or traditional open surgical techniques may be used. &iiB)0N|IWY `XMdET>ykc(9{"k a\&'^G n9 0000052152 00000 n <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 6 0 obj %PDF-1.5 % Shoulder Arthroscopic Capsular Release. 18 0 obj Incisional pain can be expected to decrease gradually over 6 to 8 weeks. 0000060336 00000 n Patients should follow their surgical team's recommendations. endobj Full AROM C-spine . This partially tears the dorsal divisions of the spinal nerves, resulting in partial denervation of the multifidi. Improve posture. 0000003472 00000 n For more information about these cookies and the data stream It also provides technologically advanced care techniques, such as state-of-the-art electric nerve stimulation devices to improve nerve responsivity in the spinal cord. Our doctors also perform some procedures at UHS Chenango Memorial Hospital as well. When tension is encountered, the therapist helps the patient work the knee or ankle gently back and forth, gradually increasing the ROM. Frozen Shoulder. 0000001216 00000 n Of the thousands of people treated every year, many are children, adults and senior citizens who have chosen Hamilton Orthopaedics, Spine and Sports Medicine as the best place to give them the most advanced orthopaedic care. aims to restore mobility and motor function, build strength, and support recovery from injuries affecting the muscles, bones, and jointsincluding injuries to the spinal column and spinal cord. 0000052425 00000 n Here's what to look for in a spinal surgery physical therapy protocol: A Multi-disciplinary Approach to Back Surgery Rehabilitation. stretching should be very gentle and only pushed to the point the patient can brace to prevent lumbar motion. This position is the basis for keeping the lumbar spine stable. Kd."qpXJ@n,M54:,m[vcga8yV9 It often includes education components to show you how to conduct massage therapy and perform stretching exercises at home to improve agility. % endobj <> Lumbar Spine Fusion Post-Surgical Rehab Protocol - Virginia Therapy & Fitness Center What We Treat Head Injuries and Conditions Spine Care Shoulder Elbow & Wrist Hip & Knee Foot & Ankle ACL Rehab How We Treat Physical Therapy Dry Needling Aquatic Therapy Massage Therapy Athletic Training Wellness Strength & Fitness Personal Training Return to Play! <> Lumbar Laminectomy Physical Therapy Prescription The intent of this protocol is to provide guidelines for rehab. Lumbar ROM is allowed to tolerance all planes after brace removal beginning in mid-range with progression to full available within pain limits. A typical protocol uses therapeutic exercises and functional activities to help you build endurance for various movements (e.g., walking) while regaining strength gradually. 2 0 obj E0&LfwAC)MDggggr2&c]N3lWz0 We use cookies and other tools to enhance your experience on our website and <> endobj %%EOF <> Rotator Cuff Repair - Small to Medium Tear. <>>> <> 0000004902 00000 n More strenuous stabilization activities, such as half and full front and side planks could be added. % Lumbar Spine Fusion Post-Surgical Protocol Physical Therapy Athletic Training Massage Nutrition Personal Training Aquatic Therapy Lifting and activity restrictions will be gradually removed as the healing process takes place. <>/Metadata 165 0 R/ViewerPreferences 166 0 R>> 0000006320 00000 n <> Straighten one leg in front with toes pointed up and knee straight. endobj <> hb```f````c`ad@ A\'``hS;0m xLPgEmq*~16]RdO'q,n} (l\ 0K! 2 0 obj Note: During a posterior fusion, the multifidi are retracted from the spine. They may even go about their daily activities as usual. Although there is no specific protocol management, the main objective of treatment is to avoid permanent damage by suppressing neuroinflammation and promoting . What You Need to Know About Spinal Surgery Physical Therapy Protocol, , you'd want to heal as quickly as possible and resume normal activities. It often includes physical movements, massage therapy, pain management, and injury prevention. The ERAS approach creates an integrated continuum that addresses a patient's journey from preadmission through postoperative phases. x]SN1eN.$iv,e{?{e;'m:GKx#v0)%{{;^pliBIaigX]cVyC*pG7BcC#pk tx%x 2MSa6]Ao:;Ab@pp=8K}To4=[t6x;Sx|yS;.Q{ P^ ',P'xD(VI,Kon3CqV;4p|/q8#Oc99o Physical Therapy after Spinal Fusion: Weeks 6 to 9. Endurance and cardiovascular exercises should also be progressed at this stage and start to progress gradually. What the therapist is attempting to develop at this stage is not so much muscle power as kinesthetic sense for the muscles and their role in protecting the spine. 0000006924 00000 n Fusion may take 6 months to 1 year to fully heal. Flexion and extension films can help to detect hypermobility or excessive motion in degenerative lumbar conditions. is your best bet for a smooth recovery. Apply online today to get started! cF"_Pi_~%>65Hg/'fKDe{+9Hl3AYP=xQ>R{x0s2fOI2iOBY^UHs-M6p[\gmv0v6j2me>+qu=L 8|BB[>4w}%9 x 5v=X physical therapy: posture education review: sitting in neutral minimizing forward head, adjust workstation for better ergonomics (issue workstation setup handout), changing position every 30 min., avoid prolonged flexion > 15 min./time using phone, tablets, handwork etc. The surgery involves placement of an implant (cage, spacer or structural graft) within the intervertebral space after discectomy[1] and successful union of two or more vertebra[2]. Board Certified Spine Surgeon Keith Meister, MD Sports Medicine / Arthroscopy Head Team Physician Lumbar Laminectomy REHABILITATION PROTOCOL Phase I: Protection Phase/Immediate Motion (0 - 6 Weeks post-op) 0-3 Weeks post-op: ! ? Anterolisthesis, or a forward slippage of one vertebra on the next, is the hallmark radiographic finding in spondylolisthesis. oF^qQrB#K'#0kIi{`Lb:>?ei*Z" *8chLUK;@KQs{19"ma}/duNh _C`JdYzsmI+o $tRr1&/'#+x~ jdKN2 ]i2& {L2&rl5YSs*I?0BpO9em)v8iC4*e880G=;*gH(Hx+o3]!G^E Physical therapy will emphasize pelvic neutral, improving postural awareness (to avoid extra stress at level above and below surgical site), lower and upper extremity strengthening, flexibility, nerve root glides, and improving functional activities of daily living (walking, stair climbing, etc).

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